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J. Michael Maloney, MD

Arch Dermatol. 1992;128(3):331-332.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

CLINICAL COURSE

A 13-year-old white girl presented with a slowly growing lesion on the tip of her nose. She denied any personal or family history of skin cancer, blistering sunburns in childhood, or health problems. Findings from the physical examination showed few nevi over the upper aspect of the trunk and extremities. A 4-mm dome-shaped, evenly hyperpigmented lesion was present on the tip of her nose (Fig 1).

WORKING DIAGNOSIS

Benign dermal nevus.

THERAPEUTIC CHALLENGE

Lesions of this type can easily be removed for cosmetic reasons by means of shave technique. The nose, however, can be a painful area to anesthetize with injection of local anesthetics; younger patients often cannot or will not tolerate needle sticks into their face. Several methods to reduce the pain of anesthesia have been used in the past. Iontophoresis with lidocaine and epinephrine has been reported in the medical literature as an efficient and painless . . . [Full Text PDF of this Article]

Author Affiliations
Denver, Colo

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